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Flexible Spending Account Claim Form SERVICE CODE C Co-payment — Dental M — Medical P — Prescription V Vision — Other (please specify) Employer name Employee name Social security number Employee
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What is service code - fccms?
Service code - fccms is a specific code used for reporting certain services.
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All providers of the specified services are required to file service code - fccms.
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Service code - fccms should be filled out according to the guidelines provided by the reporting agency.
What is the purpose of service code - fccms?
The purpose of service code - fccms is to track and monitor the provision of specific services.
What information must be reported on service code - fccms?
Providers must report detailed information about the specific services provided when using service code - fccms.
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